Provider Demographics
NPI:1629231618
Name:FULTON THERAPY SERVICES PC
Entity Type:Organization
Organization Name:FULTON THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-723-4900
Mailing Address - Street 1:444 S FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1718
Mailing Address - Country:US
Mailing Address - Phone:914-723-4900
Mailing Address - Fax:914-723-7893
Practice Address - Street 1:444 S FULTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1718
Practice Address - Country:US
Practice Address - Phone:914-723-4900
Practice Address - Fax:914-723-7893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy